Individual
DR. THEODORE R LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
43666
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016600
KAISER-COMMERCIAL NUMBER
—
05
—
01872885
—
CO
Enumeration date
03/07/2007
Last updated
04/07/2021
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